Blue Ridge Medical Management Corporation
NPI #1073748539 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1073748539
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Specialist
- Enumeration Date
- May 27, 2009
- Last Updated
- Oct 26, 2010
Practice Location
- Address
- 1503 W ELK AVE
- Address 2
- SUITE 8
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2876
- Phone
- (423) 543-8619
Authorized Official
- Name
- CARL STEVEN KILGORE
- Title
- PRESIDENT
- Phone
- (423) 915-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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